Bedore, Gerald M.

Bedore, Gerald M. is an individual health care provider with primary practice located at 835 S Wolcott Ave Rm E-144 , Chicago IL 60612-3748. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Bedore, Gerald M. can be contacted via phone (312) 996-7420.

Contact Information

Primary practice address
835 S Wolcott Ave Rm E-144 Chicago IL 60612-3748
Phone: (312) 996-7420
Fax: (312) 413-8485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.004416 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209.004416 Illinois

Profile Details

NPI number 1003075706
LBN Legal business name Bedore, Gerald M.
Credentials APN/CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2008
Last updated Jun 6th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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